A tonsillectomy and/or adenoidectomy may be indicated if certain clinical findings are present. The following are the indications listed by the American Academy of Otolaryngology - Head and Neck Surgery.


Tonsillectomy with/without adenoidectomy

(1) >= 3 infections of tonsils and/or adenoids in the past year despite adequate medical therapy

(2) hypertrophy causing one or more of the following:

(2a) dental malocclusion

(2b) abnormal orofacial development

(2c) upper airway obstruction

(2d) severe dysphagia

(2e) sleep apnea

(2f) cardiopulmonary abnormalities

(3) peritonsillar abscess unresponsive to conservative management

(4) chronic or recurrent tonsillitis causing one or more of the following:

(4a) persistent foul taste not responsive to medical management

(4b) persistent foul breath not responsive to medical management

(4c) streptococcoal carrier state not responsive to appropriate antibiotic therapy

(5) unilateral tonsillar enlargement that is possibly neoplastic


Adenoidectomy alone:

(1) recurrent suppurative or otitis media with effusion


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